Individual
ADAIAH GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAAC
Contact information
Practice address
1930 S ALMA SCHOOL RD STE 203, MESA, AZ 85210-3064
(480) 448-6588
Mailing address
21150 N TATUM BLVD APT 4010, PHOENIX, AZ 85050-7242
(602) 561-4617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13228
AZ
Other
Enumeration date
04/05/2022
Last updated
01/30/2025
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